Fast Five Quiz: Borderline Personality Disorder

Stephen Soreff, MD


March 09, 2021

According to the DSM-5, borderline personality disorder is diagnosed on the basis of (1) a pervasive pattern of instability of interpersonal relationships, self-image, and affects, and (2) marked impulsivity beginning by early adulthood and present in various contexts, as indicated by at least five of the following:

  1. Frantic efforts to avoid real or imagined abandonment (does not include suicidal or self-mutilating behavior covered in criterion 5)

  2. A pattern of unstable and intense interpersonal relationships characterized by alternating between extremes of idealization and devaluation

  3. Identity disturbance (markedly and persistently unstable self-image or sense of self)

  4. Impulsivity in at least two areas that are potentially self-damaging (does not include suicidal or self-mutilating behavior covered in criterion 5)

  5. Recurrent suicidal behavior, gestures, or threats, or self-mutilating behavior

  6. Affective instability due to a marked reactivity of mood

  7. Chronic feelings of emptiness

  8. Inappropriate, intense anger or difficulty controlling anger

  9. Transient, stress-related paranoid ideation or severe dissociative symptoms

Read more about the criteria for borderline personality disorder.


Comments on Medscape are moderated and should be professional in tone and on topic. You must declare any conflicts of interest related to your comments and responses. Please see our Commenting Guide for further information. We reserve the right to remove posts at our sole discretion.